SPlECH·lANGUAGE PATHOLOGY AND AUDIOLOGY AND HEARING AID DISPENSERS BOARD

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SPlECH·lANGUAGE PATHOLOGYAND AUDIOLOGY AND HEARINGAID DISPENSERS BOARD2016 SUNSET REVIEW REPORTPRESENTED TO THE SENATE COMMITTEE ON BUSINESS,PROFESSIONS, AND ECONOMIC DEVELOPMENTDECEMBER 2016

Speech‐Language Pathology & Audiology& Hearing Aid DispensersBoard MembersAlison Grimes, Board Chair, Dispensing AudiologistRodney Diaz, Public Member, OtolaryngologistJaime Lee, Public MemberDeane Manning, Hearing Aid DispenserDee Parker, Speech‐Language PathologistMarcia Raggio, Dispensing AudiologistAmnon Shalev, Hearing Aid DispenserDebbie Snow, Public MemberPatti Solomon‐Rice, Speech‐Language PathologistPaul Sanchez, Executive OfficerSpeech‐Language Pathology & Audiology& Hearing Aid Dispensers Board2005 Evergreen Street, Suite 2100Sacramento CA 95815Phone: 916‐263‐2666 Fax: 916‐263‐2668Internet: www.speechandhearing.ca.gov

CALIFORNIA SPEECH‐LANGUAGE PATHOLOGY & AUDIOLOGY& HEARING AID DISPENSERS BOARD2016 SUNSET REVIEW REPORTTABLE OF CONTENTSSECTION 1 – BACKGROUND AND DESCRIPTION OF THE BOARD AND REGULATED PROFESSION .2SECTION 2 – PERFORMANCE MEASURES AND CUSTOMER SATISFACTION SURVEYS .20SECTION 3 – FISCAL AND STAFF .21SECTION 4 – LICENSING PROGRAM .28SECTION 5 – ENFORCEMENT PROGRAM.48SECTION 6 – PUBLIC INFORMATION POLICY.60SECTION 7 – ONLINE PRACTICE ISSUES.62SECTION 8 – WORKFORCE DEVELOPMENT AND JOB CREATION .63SECTION 9 – CURRENT ISSUES .66SECTION 10 – BOARD ACTION AND RESPONSE TO PRIOR SUNSET ISSUES.68SECTION 11 – NEW ISSUES.75SECTION 12 ‐ ATTACHMENTS.84

SECTION 1 –BACKGROUND AND DESCRIPTION OF THE BOARD AND REGULATED PROFESSIONProvide a short explanation of the history and function of the Speech-LanguagePathology & Audiology & Hearing Aid Dispensers Board (Board). Describe theoccupations/professions that are licensed and/or regulated by the Board (PracticeActs vs. Title Acts).1. Describe the make-up and functions of each of the Board’s committees.History of the Hearing Aid Dispensers Examining CommitteeIn 1970, legislation was passed (Chapter 1514, Statutes of 1970) that added Section651.4 to Division 2 of the Business & Professions Code to establish the Hearing AidDispensers Examining Committee (HADEC), under the jurisdiction of the Medical Boardof California (MBC). The intent of the HADEC was to prepare, grade, and conductexaminations of applicants for a hearing aid dispenser’s license. The MBC wasresponsible for the HADEC’s enforcement program including any disciplinary actions.In 1988, legislation was passed (SB 225, Chapter 1162, Statutes of 1988), whichtransferred authority from the MBC to the HADEC, to administer the enforcementprogram. The legislation also allowed hearing aid dispensers to use fictitious names forfitting and selling hearing aids but prohibited licensees from owning or having interest in ahearing aid dispensing business if their license had been suspended or revoked.In 1996, SB 1592 (Chapter 441, Statutes of 1996) provided HADEC the authority toadopt, amend or repeal regulations related to the practice of fitting or selling hearing aiddevices.During the 1997-98 legislative session, the HADEC and the Speech-Language Pathologyand Audiology Board (SLPAB) were reviewed by the Joint Legislative Sunset ReviewCommittee (Joint Committee). The Joint Committee raised the issue of merging the twoprograms, but voted against the idea. Two bills were introduced in 1998 (SB 1982 andAB 2658) which would have extended the regulation of hearing aid dispensers. Oneproposal merged the HADEC with the SLPAB, while the other extended the sunset dateof the Committee. Both bills failed and the HADEC was sunset.In 1999, the Department of Consumer Affairs (DCA) assumed responsibility for regulatinghearing aid dispensing.In 2000, legislation was chaptered creating the Hearing Aid Dispensers Bureau withinDCA and converted the former Commission to an Advisory Committee made up ofprofessional members to provide input and recommendations regarding policy andregulatory issues to the DCA Director.History of the Speech-Language Pathology and Audiology Board (SLPAB)The SLPAB (formerly a Committee) was created in 1973 and enacted in 1974 under thejurisdiction of the MBC (Chapter 5.3, Statutes of 1974, Section 2530 et seq. of theBusiness & Professions Code). As recently as 2010, the Board regulated the speechlanguage pathology and audiology, which are two separate professions, each withindividual scopes of practice, entry-level requirements, and descriptive titles.2 P a ge

On July 1, 1999, the SLPAB was sunsetted and became a program under DCA due to thefailure of Senate Bill 1982 (merger bill referenced above). Subsequently, Assembly Bill124, introduced in the 1998-99 legislative session, passed and restored the SLPAB as aBoard effective January 1, 2000.While the SLPAB had been operating as an independent Board for many years, thestatutory amendment to remove references to the MBC was officially recorded in Section2531 of the Business & Professions Code in 2003 (SB 2021).Merger of the Hearing Aid Dispensers Bureau and the Speech-Language Pathologyand Audiology BoardOn October 11, 2009, Governor Schwarzenegger signed Assembly Bill 1535 whichmerged the Hearing Aid Dispensers Bureau into the Speech-Language Pathology andAudiology Board to create the Speech-Language Pathology and Audiology and HearingAid Dispensers Board (Board) (Business & Professions Code Section 2531), effectiveJanuary 1, 2010. The newly merged Board was expanded to regulate the professions ofspeech-language pathology, audiology, and hearing aid dispensing.Function of the BoardThe Board serves to protect the public by licensing and regulating speech-languagepathologists, audiologists, and hearing aid dispensers who provide speech and hearingservices to California consumers. The Board sets entry-level licensing standards, whichincludes examination requirements that measure the licensees’ professional knowledgeand clinical abilities that are consistent with the demands of the current delivery systems.To ensure ongoing consumer protection, the Board enforces standards of professionalconduct by investigating applicant backgrounds, investigating complaints against licensedand unlicensed practitioners, and taking disciplinary action whenever appropriate.The Board is charged with regulating Speech-Language Pathology, Audiology, andHearing Aid Dispensing; three separate and distinct professions with their own scopes ofpractice, entry-level requirements, and professional settings. Speech-languagepathologists mainly provide services to individuals with speech, voice or languagedisorders and swallowing disorders or impairments. Audiologists provide services toindividuals with hearing, balance (vestibular), and related communication disorders. Mostaudiologists are also licensed to dispense hearing aids and are called DispensingAudiologists. Hearing Aid Dispensers provide services to individuals with impairedhearing which include hearing tests for the purposes of fitting, selection, and adaptation ofhearing aids.To balance the professional expertise and public input on the Board, the governancestructure of the Board consists of two speech-language pathologists; two audiologists,one of whom must be a dispensing audiologist; two hearing aid dispensers; and threepublic members, one of which who must be a licensed, Board certified physician andsurgeon in otolaryngology. All of these members (except two public members) areappointed by the Governor. One public member seat is appointed by the Senate RulesCommittee and one by the Speaker of the Assembly.The Board is responsible for regulating the following license types and categories:3 P a ge

Speech-Language Pathologist [2530.2(d)-(g)] – licensed to provide assessmentand therapy for individuals who have speech, language, swallowing, and voicedisorders. Audiologist [2530.2(j)-(k)]- licensed to identify hearing, auditory system, andbalance disorders, and provide rehabilitative services, including hearing aids andother assistive listening devices. Dispensing Audiologists [2530.2(l)] – licensed to perform the duties of anAudiologist as described above and authorized to sell hearing aids. Speech-Language Pathology Assistant (SLPA) [2530.2(i), 2538-2538.7] registered paraprofessionals who complete formal education and training andserve under the direction of a licensed speech-language pathologist. Required Professional Experience Temporary License [2532.2(d), 2532.25, &2532.7] - speech-language pathology and audiology applicants completingrequired professional experience to qualify for full licensure, practicing under thesupervision of a licensed practitioner. Speech-Language Pathology Aide [2530.2(h)] – support personnel approved towork directly under the supervision of a speech-language pathologist. Norequirement for formal education and training, but on-the-job training must beprovided. Audiology Aide [2530.2(m)] - support personnel approved to work under thesupervision of a licensed audiologist. No requirement for formal education andtraining, but on-the-job training must be provided. Speech-Language Pathology or Audiology Temporary License [2532.3] – speechlanguage pathologist or audiologist, licensed in another state, who qualifies for asix-month license while seeking permanent licensure. Hearing Aid Dispenser [2538.11] – licensed to fit and sell hearing aids, take earmold impressions, post fitting procedures, and directly observe the ear and testhearing in connection with the fitting and selling hearing aids. Hearing Aid Dispenser Temporary License [2538.27] – hearing aid dispenser,licensed in another state, who qualifies for a 12 month temporary license whileseeking permanent licensure. Hearing Aid Dispenser Trainee License [2538.28] – allows a hearing aid dispensertrainee applicant to work under the supervision of a licensed hearing aid dispenserfor up to 18 months. Branch License- [2538.34] – licenses issued to hearing aid dispensers authorizingthe dispenser to work at additional branch locations.4 P a ge

The Board is also responsible for the approval of the following: SLPA Training Program [2538.1] – Board-approved training/educational programs. Continuing Professional Development (CPD) Providers [2532.6] who offer CPDcourses required for license renewal of speech-language pathology and audiologylicensees. Continuing Education Courses (CE) [2538.18] – CE courses offered to Hearing AidDispensers required for license renewal.The Board’s licensing population is over 23,000 individuals and entities. According to theBureau of Labor Statistics, US Department of Labor, Occupational Outlook Handbook,2014-15 Edition; by 2024, the Speech-Language Pathologist and Audiologist professionsare expected to grow by 21 percent and 29 percent, respectively in the United States.The growth rates for California have been higher than the U.S. rate in the past and areexpected to continually increase. California’s demand for speech-language pathologists,audiologists, and hearing aid dispensers will continue to grow in the coming years due toan aging population who will experience hearing loss, as well as those who will sufferstrokes and other debilitating illnesses. In addition, there is a growing need for speechlanguage pathology services in California schools. This consumer demand will make therole of the Board even more critical to ensure the safety and efficacy of theseprofessions.The Board believes the level of education and experience required to secure a licenseassures the public that these licensees are well trained and able to deliver the appropriatelevel of service. At the same time, the potential for harm to consumers in theseprofessions is significant as testing and evaluation involves the use of sound, airpressure, electricity and other physical stimuli in the ear and to the head. Speechlanguage pathology patients are at risk of aspiration of material into their lungs whenundergoing evaluations that require the introduction of materials into the throat.Audiologists insert a variety of instruments into the ear canal, and there is a risk ofphysical harm such as punctures of the skin in the ear, ear canal, ear drum and allergicreactions by electrodes or electrode paste. Likewise, hearing aid consumers can sufferdamage to their ears if dispensers are not qualified or trained properly to performotoscopy or take ear impressions for hearing aids.It is imperative that the Board balance its education, outreach, and enforcement efforts toensure that the Board policies are current and consistent with the acceptable standard ofcare in each discipline.5 P a ge

Table 1a. AttendanceAlison GrimesDate Appointed to Board:Term Expiration:Meeting TypeMarch 22, 2010January 1, 2017Meeting DateMeeting LocationAttended?Board MeetingNovember 26, 2012TelephonicYesBoard MeetingJanuary 10-11, 2013San FranciscoYesBoard MeetingMarch 12, 2013TelephonicYesBoard MeetingJune 13, 2013SacramentoYesBoard MeetingSeptember 11, 2013TelephonicYesBoard MeetingOctober 11, 2013San DiegoYesBoard MeetingNovember 25, 2013TelephonicYesBoard MeetingFebruary 7, 2014BrisbaneYesBoard MeetingMay 23, 2014SacramentoYesBoard MeetingAugust 21, 2014Los AngelesYesBoard MeetingNovember 7, 2014San DiegoYesBoard MeetingFebruary 23, 2015SacramentoYesBoard MeetingMarch 11, 2015SacramentoYesBoard MeetingJune 19, 2015SacramentoYesBoard MeetingAugust 20-21, 2015BurlingameYesBoard MeetingNovember 6, 2015SacramentoYesBoard MeetingNovember 30, 2015SacramentoYesBoard MeetingDecember 22, 2015TelephonicYesBoard MeetingFebruary 4-5, 2016San DiegoYes6 P a ge

Table 1a. AttendanceAmnon ShalevDate Appointed to Board:Term Expiration:Meeting TypeDecember 15, 2012January 1, 2020Meeting DateMeeting LocationAttended?Board MeetingJanuary 10-11, 2013San FranciscoYesBoard MeetingMarch 12, 2013TelephonicYesBoard MeetingJune 13, 2013SacramentoYesBoard MeetingSeptember 11, 2013TelephonicYesBoard MeetingOctober 11, 2013San DiegoYesBoard MeetingNovember 25, 2013TelephonicNoBoard MeetingFebruary 7, 2014BrisbaneYesBoard MeetingMay 23, 2014SacramentoNoBoard MeetingAugust 21, 2014Los AngelesYesBoard MeetingNovember 7, 2014San DiegoYesBoard MeetingFebruary 23, 2015SacramentoYesBoard MeetingMarch 11, 2015SacramentoYesBoard MeetingJune 19, 2015SacramentoYesBoard MeetingAugust 20-21, 2015BurlingameYesBoard MeetingNovember 6, 2015SacramentoYesBoard MeetingNovember 30, 2015SacramentoYesBoard MeetingDecember 22, 2015TelephonicYesBoard MeetingFebruary 4-5, 2016San DiegoNoTable 1a. AttendanceCarol MurphyDate Appointed to Board:Term Expiration:Meeting TypeApril 5, 2010January 1, 2013Meeting DateMeeting LocationAttended?Board MeetingNovember 26, 2012TelephonicYesBoard MeetingJanuary 10-11, 2013San FranciscoYesBoard MeetingMarch 12, 2013TelephonicYesBoard MeetingJune 13, 2013SacramentoYesBoard MeetingSeptember 11, 2013TelephonicYes7 P a ge

Table 1a. AttendanceDeane ManningDate Appointed to Board: December 27, 2010Term Expiration:January 1, 2019Meeting TypeMeeting DateMeeting LocationAttended?Board MeetingNovember 26, 2012TelephonicYesBoard MeetingJanuary 10-11, 2013San FranciscoYesBoard MeetingMarch 12, 2013TelephonicYesBoard MeetingJune 13, 2013SacramentoYesBoard MeetingSeptember 11, 2013TelephonicYesBoard MeetingOctober 11, 2013San DiegoYesBoard MeetingNovember 25, 2013TelephonicNoBoard MeetingFebruary 7, 2014BrisbaneNoBoard MeetingMay 23, 2014SacramentoYesBoard MeetingAugust 21, 2014Los AngelesYesBoard MeetingNovember 7, 2014San DiegoYesBoard MeetingFebruary 23, 2015SacramentoYesBoard MeetingMarch 11, 2015SacramentoYesBoard MeetingJune 19, 2015SacramentoYesBoard MeetingAugust 20-21, 2015BurlingameYesBoard MeetingNovember 6, 2015SacramentoNoBoard MeetingNovember 30, 2015SacramentoYesBoard MeetingDecember 22, 2015TelephonicYesBoard MeetingFebruary 4-5, 2016San DiegoNo8 P a ge

Table 1a. AttendanceDebbie SnowDate Appointed to Board: November 30, 2013Term Expiration:November 30, 2017Meeting TypeMeeting DateMeeting LocationAttended?Board MeetingFebruary 7, 2014BrisbaneYesBoard MeetingMay 23, 2014SacramentoYesBoard MeetingAugust 21, 2014Los AngelesYesBoard MeetingNovember 7, 2014San DiegoYesBoard MeetingFebruary 23, 2015SacramentoYesBoard MeetingMarch 11, 2015SacramentoYesBoard MeetingJune 19, 2015SacramentoNoBoard MeetingAugust 20-21, 2015BurlingameYesBoard MeetingNovember 6, 2015SacramentoYesBoard MeetingNovember 30, 2015SacramentoYesBoard MeetingDecember 22, 2015TelephonicYesBoard MeetingFebruary 4-5, 2016San DiegoYes9 P a ge

Table 1a. AttendanceJaime LeeDate Appointed to Board: May 11, 2011Term Expiration:November 30, 2017Meeting TypeMeeting DateMeeting LocationAttended?Board MeetingNovember 26, 2012TelephonicYesBoard MeetingJanuary 10-11, 2013San FranciscoYesBoard MeetingMarch 12, 2013TelephonicYesBoard MeetingJune 13, 2013SacramentoYesBoard MeetingSeptember 11, 2013TelephonicYesBoard MeetingOctober 11, 2013San DiegoYesBoard MeetingNovember 25, 2013TelephonicNoBoard MeetingFebruary 7, 2014BrisbaneYesBoard MeetingMay 23, 2014SacramentoNoBoard MeetingAugust 21, 2014Los AngelesYesBoard MeetingNovember 7, 2014San DiegoYesBoard MeetingFebruary 23, 2015SacramentoYesBoard MeetingMarch 11, 2015SacramentoYesBoard MeetingJune 19, 2015SacramentoYesBoard MeetingAugust 20-21, 2015BurlingameYesBoard MeetingNovember 6, 2015SacramentoNoBoard MeetingNovember 30, 2015SacramentoNoBoard MeetingDecember 22, 2015TelephonicNoBoard MeetingFebruary 4-5, 2016San DiegoNo10 P a g e

Table 1a. AttendanceMarcia RaggioDate Appointed to Board: December 17, 2012Term Expiration:January 1, 2019Meeting TypeMeeting DateMeeting LocationAttended?Board MeetingJanuary 10-11, 2013San FranciscoNoBoard MeetingMarch 12, 2013TelephonicYesBoard MeetingJune 13, 2013SacramentoYesBoard MeetingSeptember 11, 2013TelephonicYesBoard MeetingOctober 11, 2013San DiegoYesBoard MeetingNovember 25, 2013TelephonicYesBoard MeetingFebruary 7, 2014BrisbaneYesBoard MeetingMay 23, 2014SacramentoYesBoard MeetingAugust 21, 2014Los AngelesYesBoard MeetingNovember 7, 2014San DiegoYesBoard MeetingFebruary 23, 2015SacramentoYesBoard MeetingMarch 11, 2015SacramentoYesBoard MeetingJune 19, 2015SacramentoYesBoard MeetingAugust 20-21, 2015BurlingameYesBoard MeetingNovember 6, 2015SacramentoYesBoard MeetingNovember 30, 2015SacramentoYesBoard MeetingDecember 22, 2015TelephonicYesBoard MeetingFebruary 4-5, 2016San DiegoYes11 P a g e

Table 1a. AttendanceMargaret “Dee” ParkerDate Appointed to Board: August 16, 2013Term Expiration:January 1, 2017Meeting TypeMeeting DateMeeting LocationAttended?Board MeetingSeptember 11, 2013TelephonicYesBoard MeetingOctober 11, 2013San DiegoYesBoard MeetingNovember 25, 2013TelephonicYesBoard MeetingFebruary 7, 2014BrisbaneYesBoard MeetingMay 23, 2014SacramentoYesBoard MeetingAugust 21, 2014Los AngelesYesBoard MeetingNovember 7, 2014San DiegoYesBoard MeetingFebruary 23, 2015SacramentoYesBoard MeetingMarch 11, 2015SacramentoYesBoard MeetingJune 19, 2015SacramentoYesBoard MeetingAugust 20-21, 2015BurlingameYesBoard MeetingNovember 6, 2015SacramentoYesBoard MeetingNovember 30, 2015SacramentoYesBoard MeetingDecember 22, 2015TelephonicYesBoard MeetingFebruary 4-5, 2016SacramentoYesTable 1a. AttendanceMonty MartinDate Appointed to Board: January 13, 2010Term Expiration:November 30, 2013Meeting TypeMeeting DateMeeting LocationAttended?Board MeetingNovember 26, 2012TelephonicYesBoard MeetingJanuary 10-11, 2013San FranciscoYesBoard MeetingMarch 12, 2013TelephonicYesBoard MeetingJune 13, 2013SacramentoNoBoard MeetingSeptember 11, 2013TelephonicYesBoard MeetingOctober 11, 2013San DiegoYesBoard MeetingNovember 25, 2013TelephonicYes12 P a g e

Table 1a. AttendancePatti Solomon-RiceDate Appointed to Board: September 8, 2012Term Expiration:January 1, 2020Meeting TypeMeeting DateMeeting LocationAttended?Board MeetingNovember 26, 2012TelephonicYesBoard MeetingJanuary 10-11, 2013San FranciscoYesBoard MeetingMarch 12, 2013TelephonicYesBoard MeetingJune 13, 2013SacramentoYesBoard MeetingOctober 11, 2013San DiegoYesBoard MeetingNovember 25, 2013TelephonicYesBoard MeetingFebruary 7, 2014BrisbaneYesBoard MeetingMay 23, 2014SacramentoYesBoard MeetingAugust 21, 2014Los AngelesYesBoard MeetingNovember 7, 2014San DiegoYesBoard MeetingFebruary 23, 2015SacramentoYesBoard MeetingMarch 11, 2015SacramentoYesBoard MeetingJune 19, 2015SacramentoYesBoard MeetingAugust 20-21, 2015BurlingameYesBoard MeetingNovember 6, 2015SacramentoYesBoard MeetingDecember 22, 2015TelephonicYesBoard MeetingFebruary 4-5, 2016San DiegoYes13 P a g e

Table 1a. AttendanceRodney DiazDate Appointed to Board: December 20, 2012Term Expiration:January 1, 2020Meeting TypeMeeting DateMeeting LocationAttended?Board MeetingNovember 26, 2012TelephonicNoBoard MeetingJanuary 10-11, 2013San FranciscoYesBoard MeetingMarch 12, 2013TelephonicYesBoard MeetingJune 13, 2013SacramentoNoBoard MeetingSeptember 11, 2013TelephonicYesBoard MeetingOctober 11, 2013San DiegoYesBoard MeetingNovember 25, 2013TelephonicNoBoard MeetingFebruary 7, 2014BrisbaneNoBoard MeetingMay 23, 2014SacramentoNoBoard MeetingAugust 21, 2014Los AngelesNoBoard MeetingNovember 7, 2014San DiegoNoBoard MeetingFebruary 23, 2015SacramentoYesBoard MeetingMarch 11, 2015SacramentoYesBoard MeetingJune 19, 2015SacramentoNoBoard MeetingAugust 20-21, 2015BurlingameNoBoard MeetingNovember 6, 2015SacramentoNoBoard MeetingNovember 30, 2015SacramentoNoBoard MeetingDecember 22, 2015TelephonicNoBoard MeetingFebruary 4-5, 2016San DiegoNoMeeting LocationAttended?TelephonicYesTable 1a. AttendanceSandra DanzDate Appointed to Board: April 5, 2010Term Expiration:January 1, 2012Meeting TypeMeeting DateBoard MeetingNovember 26, 201214 P a g e

Table 1b. Board/Committee Member RosterMember NameDate FirstAppointed(Include Authority(Public or Professional)TypeAlison Amnon Carol Deane lDebbie Snow11/30/13NA11/30/17SenatePublicJaime Lee05/03/1112/06/1311/30/17AssemblyPublicMarcia icMargaret “Dee” ParkerMonty MartinPatti Solomon-RiceRodney Diaz2. In the past four years, was the Board unable to hold any meetings due to lack ofquorum? If so, please describe. Why? When? How did it impact operations?The Board has not experienced a lack of a quorum within the past four years.3. Describe any major changes to the Board since the last Sunset Review, including,but not limited to: Internal changes (i.e., reorganization, relocation, change in leadership, strategicplanning)In June of 2014, the Board appointed a new Executive Officer. In 2014 and 2015, theBoard has experienced significant staffing turnover due to its most experienced staffretiring from state service, with a combined 50 years of experience with the Board.During this time of transition, management focused on retaining institutionalknowledge, training new staff, the Board’s workload and process improvements.In November of 2015, the Board adopted its Strategic Plan for 2016-2020. The planwas developed through the Board’s collaboration with its stakeholders and stronglyemphasizes consumer protection around five goal areas with objectives focused onimproving services to consumers and licensees, increasing outreach to stakeholders,and enhancing the Board’s enforcement program. Through interviews and surveys ofits stakeholders, the Board identified challenges and opportunities in moving forwardto build a foundation for the protection of, service to, and excellence in care ofconsumers with speech, language, and hearing impairments.15 P a g e

All legislation sponsored by the Board and affecting the Board since the last PCodeSectionsAdded Article 4.6(commencing withAB 2317Section 66041) to Ch. 2of Part 40 of Division 5AmendmentAuthorizes the California StateUniversity to award the Doctor ofAudiology degree.Provides that sexual abuse andmisconduct statute does not applyAB 179Amended 1601.1to consensual relationshipsBonillaAmended 1616.5between healing arts licensees andtheir spouses or domestic partners.Requires a physician or audiologistAmended 27, 2089.5,employed by a hearing aid2240, 2530.5, 2532.2,dispenser to be licensed to2532.7, 4021.5, 4053,dispense hearing aids. Deleting the4980, 4980.36-37,requirement of an applicant for4980.399, 4980.41,licensure as a speech-language4980.43, 4980.55pathology or audiology to submitSB 14664980.72, 4980.78,transcripts from a Board-approved4987.5, 4992.09,education institution as evidence of4996.23, 4998,completion of specified coursework.4999.55,4999.58,Authorizes the Board to increase the4999.59, 4999.60,required number of clock hours of4999.123supervised clinical practice.Amending Song-Beverly ConsumerWarranty Act stating that hearingSB 1326Added 2530.7aids can be refunded within 45Rothdays of the initial date of delivery tothe buyer. Clarified warranty terms.Amended 2450,Extended the sunset date of theSB 3052450.3, 3685, 3686Board until January 1, 2018.Lieu3710, 3716Extended surcharge by the PUCSB 129Amended 2881until January 1, 2020 and reportWrightrequirements until January 1, 2021.Amended 2530,Merged and consolidated the2530.1, 2531.02,relevant practice acts for speechSB 9332531.06, 2533,language pathologists, audiologists,Runner2533.3, 2534,and hearing aid dispensers2539.1,2539.14OperativeDateJanuary 1, 2017January 1, 2016January 1, 2015January 1, 2015January 1, 2014January 1, 2014January 1, 201216 P a g e

All regulation changes approved by the Board since the last sunset review. Includethe status of each regulatory change approved by the Board.SectionCCR 1399.110, 1399.130,1399.130.1, 1399.131,1399.150.3, 1399.151,1399.155, 1399.156,1399.156.5CCR 1399.100 - 1399.102,1399.105, 1399.111,1399.113 - 1399.122,1399.126, 1399.127,1399.132 -1399.144,1399.150.1 - 1399.150.3,1399.151, 1399.151.1,1399.152 - 1399.152.3,1399.153, 1399.153.2 1399.153.4, 1399.153.8,1399.153.9,1399.154 - 1399.154.5,1399.155, 1399.156,1399.156.2, 1399.156.3,1399.156.5, 1399.157.2,1399.159, 1399.159.01,1399.159.1 -1399.159.3,1399.160.1 - 1399.160.3,1399.160.7 - 1399.160.10,1399.160.12, 1399.170.15,1399.170.18, 1399.180,1399.182.CCR 1399.140,1399.140.1,1399.141 – 1399.144CCR 1399.152.2, 1399.153,1399.170, 1399.170.4,1399.170.6, 1399.170.10,1399.170.11, 1399.170.15CCR 1399.129TitleStatusEnforcement ProgramEnhancements - CPEIOperative 7/1/13Speech-LanguagePathology, Audiology,Hearing Aid DispensersNon-substantive ChangesOperative 10/28/15Hearing Aid DispenserContinuing EducationStatutory Deadline9/20/16Speech-LanguagePathology Assistant/Supervised ClinicalExperience Clock HoursStatutory Deadline10/8/16Fees: Hearing AidDispensersStatutory Deadline10/8/16Approved by theBoard 2/4-5/16CCR 1399.152.2Supervised ClinicalExperience Clock HoursCombined withSpeech-LanguagePathology AssistantRulemaking File17 P a g e

SectionTitleStatusCCR 1399.1571399.170.13 – 1399.170.14Fees: Speech-LanguagePathology and AudiologyCCR 1399.127Hearing Aid DispenserAdvertising GuidelinesCCR 1399.160,1399.160.1 – 1399.160.4,1399.160.7Speech-LanguagePathology and AudiologySelf-study HoursApproved by theBoard 11/6/15CCR 1399.1311399.155Disciplinary Guidelinesand Uniform StandardsRelated to SubstanceAbuseApproved by theBoard 2/4-5/16Initial DCA LegalReview 8/15/16Approved by theBoard 6/19/15Initial DCA LegalReview 8/1/16Approved by theBoard 5/12-13/164. Describe any major studies conducted by the Board (cf. Section 12, Attachment C).2014 Occupational Analysis for Speech-Language PathologistsCalifornia Business & Professions Code Section 139 and DCA policy require thatCalifornia state licensing Boards conduct regular occupational analyses of theprofessions as a fundamental part of each licensure program. In addition, Business &Professions Code Section 139 and DCA policy also requires a review of any nationalexamination program used by a California licensing Board as part of its licensureprogram. The Board held four workshops in 2014 to complete the occupational analysis.The workshops consisted of eight to ten licensees.The Board utilizes the ETS Praxis speech-language pathology examination which isbased on the American Speech-Language-Hearing Association’s (ASHA’s) occupationalanalysis (OA). In preparing for the OA, the Board requested the assistance of licenseesin providing to the Office of Professional Examination Services (OPES) the results ofASHA’s most recent national occupational analysis including: Process used to develop OA s

Speech-Language Pathology or Audiology Temporary License [2532.3] - speech- language pathologist or audiologist, licensed in another state, who qualifies for a . In addition, there is a growing need for speech-language pathology services in California schools. This consumer demand will make the

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